FFF-Printed PET and PMMA for Provisional Restorations: An In Vitro Evaluation of Mechanical Properties, Dimensional...

The purpose of this in vitro study was to evaluate the mechanical performance, dimensional accuracy, and bonding behavior of fused filament fabrication (FFF)-printed provisional restorations made from polymethyl methacrylate (PMMA) and polyethylene terephthalate (PET), and compare them with digital light processing (DLP)-printed and computer-aided numerical control (CNC)-milled ones. Occlusal veneers (OV), posterior crowns (PC), and anterior crowns (AC) (n = 30) were fabricated using FFF (PMMA, PET), DLP (acrylate), and CNC (PMMA) to assess initial fracture load (IFL). To determine reproducibility three restorations of each group were scanned and compared with each other; to determine printing accuracy the scanned restorations were compared with the STL generated for manufacturing. For shear bond strength (SBS) testing, 72 PMMA (FFF) specimens were conditioned with either Monobond Plus (MP) or Visiolink (VL) and bonded with acrylic cylinders using a dual-cure luting composite (Variolink Esthetic DC). Half of each group underwent thermocycling (10,000 cycles, 5 °C/55 °C, 30 s dwell time); the remainder was tested initially. Additionally, 48 FFF-printed PC were fabricated from PET and PMMA to investigate the fracture load in relation to the adhesive material (FL). PMMA crowns were conditioned with MP (n = 16) or VL (n = 16) and bonded with Variolink Esthetic DC. PET crowns were cemented with either Meron (ME) or Ketac Cem Plus (KE). Half of the PMMA and all PET crowns were subjected to masticatory simulation (1,200,000 cycles, 5 N, 5 °C/55 °C, 60 s dwell). Data were analyzed using Kolmogorov-Smirnov, Kruskal-Wallis, and Mann-Whitney U tests, including IFL, SBS and FL parametric tests, and comparisons were carried out using an independent t-test (α = 0.05). FFF-fabricated restorations showed the lowest fracture load values and CNC-fabricated the highest (p < 0.001). OV fabricated via DLP and CNC exhibited the highest fracture load (p < 0.001). For FFF, PC demonstrated the highest values (p < 0.028), whereas AC showed the lowest fracture load values (p < 0.001). VL showed higher initial SBS than MP (p < 0.001) and no impact on aging (p < 0.608). All MP samples showed debonding after thermocycling. Within PET and PMMA, no impact of luting/cement material on fracture load was observed (p = 0.116-0.282). The fracture load decreased after masticatory simulation (MP-PMMA: p < 0.001, VL-PMMA: p = 0.27). DLP-fabricated restorations showed the highest reproducibility and printing accuracy. CNC and FFF-PET showed comparable values. FFF-PMMA showed the greatest deviations. CNC-fabricated provisional restorations exhibited the highest fracture load. AC presented the lowest fracture load values. DLP provided the highest reproducibility and accuracy. VL achieved superior bonding to PMMA surfaces. Thermomechanical aging significantly reduced fracture load in both PET and PMMA restorations, regardless of luting material.